Phaco Training: Small Pupil Rhexis

Today I wish to share this wonderful surgical video performed by Dr. Prathmesh Mehta. Watch is closely with attention. First appreciate the fine tissue handling and even when pupil is stretched, how delicately it is done. This is followed by the most elegantly performed  capsulorhexis using Utrata forceps. Note how the big nucleus is prolapsed… Read More »

Phaco Training: Phacosection

Phacosection may be a new term for many ophthalmologists. It is a technique that was devised by Indian SICS surgeons, one of the great propagators of which is Dr. M. S. Ravindra This technique is a type of nucleofractis that is done purely mechanically using a solid wire vectis in left hand and a chopper… Read More »

Phaco Training: Discussion on nucleus expression in SICS

Discussion on nucleus expression in SICS   Wire Vectis vs Irrigating Vectis. Anyone trained at Aravind Eye Hospitals will be quiet comfortable with Irrigating Vectis. Some argue that irrigating Vectis results in flat chamber and pupillary miosis. That may be true in unskilled hands. Irrigating Vectis is held in the right hand. Some hold superior… Read More »

Phaco Training: Bridle Suture and Ptosis

Superior Rectus and Ptosis During taking bridle suture if one is getting ptosis then certainly lps and it’s attachments are getting damaged.. I have made a very quick model of eyeball and SR attachment..sending one video clip..I know it is very crude but the point which I want to stress is clear..in the first part… Read More »

Phaco Training: OSSN Ocular Surface Squamous Neoplasia

I will just talk here the bare essentials. Basic Anatomy Muco-cutaneous junction = wet line It stains (pools) Grey line separates the two plates: tarsal (meibomian) and orbicularis (hair lashes) Grey line has surgical relevance. MCJ has significance for diagnosis of dry eyes and ocular surface disorder Scleral contact lenses is a good option for… Read More »

Phaco Training: Cortex aspiration with Simcoe

Simcoe irrigating and aspiration cannula comes in different bore sizes. From 21 gauge to 24 gauge. Which gauge is preferable? Do narrower and thinner Simcoe keep the AC better formed? Secondly, for the tight handed surgeons, how often do they need to make a side post at the 3 o clock position and use the… Read More »